Organization
CENTER FOR SPECIALTY SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN BARNEY (PRESIDENT)
(219) 922-5100
Entity
Organization
Contact information
Practice address
1950 45TH AVE, MUNSTER, IN 46321-3917
(219) 922-5100
(219) 934-1052
Mailing address
1950 45TH AVE, MUNSTER, IN 46321-3917
(219) 922-5100
(219) 934-1052
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
06-004600-2
IN
Other
Enumeration date
05/16/2006
Last updated
07/25/2008
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